Concomitant Factors of Decompensation in Chronic Heart Failure
The American Journal of CardiologyPublished 1 August 1996
Cristina Opasich, Oreste Febo, P.Giorgio Riccardi, Egidio Traversi, Giovanni Forni, Gian Domenico Pinna
Citations149
SJR quartileQ2
SJR score0.93
SNIP0.73
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The concomitant factors implicated in 328 nonfatal decompensations of 304 patients with congestive heart failure were: arrhythmias in 24%, infections in 23%, poor compliance in 15%, angina in 14%, iatrogenic factors in 10%, and other causes in 5% of cases.
Abstract
The concomitant factors implicated in 328 nonfatal decompensations of 304 patients with congestive heart failure were: arrhythmias in 24%, infections in 23%, poor compliance in 15%, angina in 14%, iatrogenic factors in 10%, and other causes in 5% of cases. New York Heart Association class and right atrial pressure significantly related to the occurrence of decompensation. Poor compliance and angina were unpredictable, infection was related to pulmonary wedge pressure, iatrogenic factors were predicted by the more advanced functional classes, whereas arrhythmias were more frequent in patients with renal failure.
Keywords
Medicine
Infection Control and Hospital EpidemiologyPrevention of Central Venous Catheter-Related Infections by Using Maximal Sterile Barrier Precautions during Insertion
720 Citations1994Issam Raad, David C. Hohn +7 more
Maximal sterile barrier precautions during the insertion of nontunneled catheters reduce the risk of catheter infection and is cost-effective and consistent with the practice of universal precautions during an invasive procedure.
Archives of Internal MedicinePrecipitating Factors Leading to Decompensation of Heart Failure
400 Citations1988Jalal K. Ghali
Lack of adherence to the prescribed medical regimen was the most commonly identified causative factor and was noted in 64% of the cases; noncompliance with diet amounted to 22%, with drugs to 6%, and with the combination of drugs and diet to 37%.
JAMAIs This Patient Taking the Treatment as Prescribed?
373 Citations1993Barbara Stephenson
Physicians should measure compliance for patients prescribed a self-administered treatment because noncompliance is common and physicians can help patients to improve their compliance and increase the benefit they derive from therapy.
The LancetNon-compliance—or how many aunts has Matilda?
222 Citations1993Elizabeth C. Wright
Compliance can be improved upon by standardising methods of study and measuring, by questioning the patient, counting tablets, or looking at drug metabolites or markers in faeces, blood or urine.
The American Journal of CardiologyPrevalence and hemodynamic correlates of malnutrition in severe congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy
201 Citations1989Jeffrey G. Carr, Lynne W. Stevenson +2 more
Right atrial pressure was the only independent hemodynamic predictor of malnutrition and none of the other biochemical markers of nutritional status differed between the groups except lower serum triglyceride levels in malnourished patients.
CirculationIncidence of thromboembolic events in congestive heart failure
197 Citations1993W. Bruce Dunkman, Gary R. Johnson +4 more
PubMedIncidence of thromboembolic events in congestive heart failure. The V-HeFT VA Cooperative Studies Group.
185 Citations1993W B Dunkman, G R Johnson +4 more
The incidence of thromboembolism and stroke in class II or III congestive heart failure is not high and may not be significantly reduced with warfarin treatment, and routine use of anticoagulants in patients with heart failure may not been justified.
PubMedLack of relation between ventricular arrhythmias and sudden death in patients with chronic heart failure.
135 Citations1992Milton Packer
Asymptomatic ventricular arrhythmias do not lead to sudden death, then there would appear to be little reason to expect that antiarrhythmic drugs could prevent cardiac arrest in patients with chronic heart failure, and interventions may reduce the risk of unexpected circulatory collapse in this disorder without suppressing ventricular ectopic activity.
American Heart JournalRisk of arterial ambolization in 224 patients awaiting cardiac transplantation
70 Citations1995Paul D. Natterson, William G. Stevenson +3 more
In patients who are awaiting cardiac transplantation and who receive anticoagulation therapy for left ventricular thrombus, atrial fibrillation, or previous arterial embolization, the incidence of clinically detectable arterial Embolization is low despite severe ventricular dilatation.
Infection Control and Hospital EpidemiologyYes, Virginia, Aseptic Technique Is Very Important: Maximal Barrier Precautions during Insertion Reduce the Risk of Central Venous Catheter-Related Bacteremia
62 Citations1994Dennis G. Maki
Central venous catheters currently are inserted by physicians who wear sterile gloves, but often use little else in terms of barrier precautions, and, in the maelstrom of impending "healthcare reform," economic cost-benefit.
BMJThe Factor of Infection in Heart Failure
21 Citations1954F. J. Flint
Mortality from " bronchitis" has not declined in the last 10 years despite antibiotic therapy: respiratory failure may be a partial explanation of this phenomenon.
PubMed[Heart failure unit: 1 year experience].
2 Citations1993Cristina Opasich, Franco Cobelli +6 more
The experience focused on realizing the following goals: to organize a fit hospital environment and adequate nursing; to pursue the autonomy and independence of the patients; to routinely cooperate in a multidisciplinary team; and to offer continuity of care to patients.